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Compliance Sheet
 
CONTACTS:
Agent Service Center:
315-451-2544
Supply Order Information:
800-285-3676
Supply Order Fax:
315-451-7679
Downloads
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Administrative Forms
Supply Order Form (N1139)
Phone Interview (LPV-97)
Bank Draft Authorization (N5820)
Advertising Approval Request Form
Record of New Business Form (FUAL-1080 R-2)
Underwriting Guidelines (N3309)
Medicare Supplement Training
Medicare Supplement Training Powerpoint (FUA-0833)
ProCare Medicare Supplement
Medicare Supplement Powerpoint Presentation (MSPNY-07)
Side by Side Guide (F2566NY)
Medicare Part A&B Chart
Legal Reminder Regarding Med-Supp Sales (F3642NY)
ProCare Med-Supp Brochure (F4931NYR07)
Conditional Receipt (NYMSCR)
ProCare Med-Supp Application (NYMA14) (F3642NY)
ProCare Medicare Supplement Rates Including Commissionable Premium Tables
Outline of Coverage (DS-NYMS2006)
Replacement (Medicare Supplement) Notice (NY-REPMSM / NY-MS2MS)
Replacement of Medicare Supplement Comparision Form (NYU-1366)
HIPAA Authorization Form (N3979)
Annuities
Definition of Replacement (NY-DEF)
Annuity Buyer's Guide (3524BG-Annuity)
Annuity Certificate of Receipt (NYFPDA02-CR)
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